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Healthcare consumers today expect to access information and communicate with their health plan the same way they do in other parts of their lives—via today’s pervasive digital technologies. This means that payer organizations must implement capabilities like social media, mobile enablement and other next-gen digital technologies to meet the demands of their consumers. Only through digital transformation can health plans retain current clients and attract new ones in the race to stay ahead.
Meet Your Digital Future
Social Media: Social media is an excellent tool to improve member engagement, reinforce brand identity and enhance patient satisfaction. Consumers today expect health plans to provide social media access on multiple popular channels.
Mobile Enablement: Consumers today rely on mobile devices for everything from communication and purchases through information access. That means health plans must provide mobile-enabled sites, apps and member portals to meet these expectations.
Cloud: Success in today’s complex healthcare market requires agility, reliability and cost containment. That is why so many health plans are turning to the cloud for all or part of their application development, hosting and analytics. With on-demand clouds, healthcare organizations can run proof-of-concept projects without disrupting business operations. And by hosting TriZetto Healthcare Products in the cloud, payers can achieve greater efficiency, scalability and automation, along with lower costs.
Intelligent Process Automation: Automating previously manual processes is the key to greater efficiency. Add to that intelligent automation that grows smarter over time via machine learning, and healthcare organizations can expect even greater efficiencies and faster process times.
Analytics: Health plans are ingesting more and varied types of data than ever before—valuable data that can be mined and analyzed to help improve both patient outcomes and economic viability. With the right predictive analytics tools, health plans can make faster, better decisions to improve their administrative efficiencies, lower the cost of care and improve the member experience.
Increases payer efficiency, improve productivity, reduce costs and position your business for growth.
Offers end-to-end solution that pairs modular SaaS products with industry-leading strategic consulting to connect disparate systems, standardize data and enable secure, authenticated access in real-time.
Automates pricing scenarios to provide the best value to payers, providers and patients.
Enables payer/provider collaboration to reduce costs and drive overall quality improvement.
Members may interact anytime, anywhere and receive a detailed view of their coverage information with compelling metrics, timely notifications and relevant healthcare content.
This integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.
Enables physicians and other care providers to access detailed information on their patients, efficiently log claims and make templates for common claims, as well as easily create referrals and authorizations.
Manages EDI trading partners with one cost-effective, cloud-enabled technology service.
Connects care managers to members and providers while reducing costs, personalizing interventions and improving care quality.
Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.
Extend the functionality of your core system by providing critical capabilities from enrollment through risk adjustment, to efficiently administer government solutions.
Automates transaction processing and information exchange between payer organizations and their external constituents.